- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $6.11 / $9.69
| Facility | | $6.11 | $6.11 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $7.64 / $9.69
| Professional | | $4.33 | $7.64 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $12.46 / $12.46
| Professional | | $9.49 | $12.46 | $12.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $5.85 / $14.60
| Facility | | $5.85 | $5.85 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $5.08 / $6.03
| Professional | | $4.97 | $5.08 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $12.46 / $23.67
| Professional | | $11.46 | $12.46 | $23.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.15 / $45.77 / $56.36
| Facility | | $36.15 | $45.77 | $56.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $6.11 / $9.69
| Facility | | $6.11 | $6.11 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.64 / $11.78
| Professional | | $5.26 | $7.64 | $11.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $17.00 / $24.50
| Professional | | $9.30 | $17.00 | $24.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $5.85 / $14.60
| Facility | | $5.85 | $5.85 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $5.08 / $8.81
| Professional | | $4.97 | $5.08 | $8.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $11.86 / $11.86
| Facility | | $8.90 | $11.86 | $11.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $11.86 / $11.86
| Professional | | $8.90 | $11.86 | $11.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $6.22 / $10.89
| Professional | | $4.25 | $6.22 | $10.89 |